We apply a brace fixed in 15 degree flexion after the operation, until the drainage tube is removed from the joint. The patient keeps his limb elevated in bed, puts an icepack on the joint for 10-15 minutes per hour, and performs exercises to strengthen the thigh muscles. She/he contracts the extensor muscles of the thigh for 3 seconds, while keeping the forefoot retracted, and then relaxes.

Walking with partial weight bearing

Until suture removal, patients familiarize themselves with a load of 5-7 kilograms, using crutches and a bathroom scale. Crutches are not necessary after wound healing; patients are mobilized with full weight bearing from here on.

Mobilization of the kneecap

Patient lies with limb extended; the physiotherapist moves the kneecap with her hand sidelong.

Removal of the knee brace

Patients who underwent transplantation of the kneecap tendon, may remove the knee brace after 6 weeks, when the femoral bone graft has integrated. In case of semitendinosus-tendon replacement, the brace may be removed immediately after suture removal.